Active NPI
Theresa Marie Yonker, MD
- Psychiatry Physician
- Red Hook, NY
National Provider Identifier
1750584066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 172464
- Practice address
- 7472 S Broadway
Suite 7
Red Hook, NY 12571-1704 - Phone
- (845) 758-9694
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 172464 | NY | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 172464 | NY |
Addresses
Primary practice location
7472 S Broadway
Suite 7
Red Hook, NY 12571-1704
Mailing address
7472 S Broadway
Suite 7
Red Hook, NY 12571-1704
Phone (845) 758-9694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172464 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1750584066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7472 S BROADWAY",
"address_2": "SUITE 7",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711704",
"telephone_number": "845-758-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7472 S BROADWAY",
"address_2": "SUITE 7",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711704",
"telephone_number": "845-758-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YONKER",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "172464",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "172464",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Hook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.